Jose A Bossbaly (NPI# 1376551101, PAC ID# 3870515125) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1376551101 |
PAC ID by PECOS | 3870515125 |
Professional Enrollment ID | I20051229000636 |
Full Name | Jose A Bossbaly |
Organization Legal Name | DR. MAX E. MERCADO PRACTICE, LLC |
Address |
7500 Central Ave Suite 203 Philadelphia PA 19111-2432 |
Phone Number | 2152894434 |
Gender | M |
Credential | MD |
Graduation Year | 1981 |
Primary Specialty | INTERNAL MEDICINE |
Group Practice PAC ID | 9739251315 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
390080 | JEANES HOSPITAL |
390027 | TEMPLE UNIVERSITY HOSPITAL |
390115 | ARIA HEALTH |
Address | Phone | Organization |
---|---|---|
7500 Central Ave, Suite 203, Philadelphia, PA 19111-2432 | 2152894434 | DR. MAX E. MERCADO PRACTICE, LLC |
Organization Legal Name | DR. MAX E. MERCADO PRACTICE, LLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Max E Mercado | Internal Medicine | Dr. Max E. Mercado Practice, LLC | 7500 Central Ave, Suite 203, Philadelphia, PA 19111-2432 |
Street Address |
7500 CENTRAL AVE SUITE 203 |
City | PHILADELPHIA |
State | PA |
Zip | 19111-2432 |
Name | Specialty | Organization | Address |
---|---|---|---|
Bong-soo Kim | Neurosurgery | Temple Faculty Practice Plan Inc | 7500 Central Ave, Philadelphia, PA 19111-2430 |
Mark Krakauer | Ophthalmology | Temple Faculty Practice Plan Inc | 7500 Central Ave, Philadelphia, PA 19111-2430 |
Yi Zhang | Ophthalmology | Temple Faculty Practice Plan Inc | 7500 Central Ave, Philadelphia, PA 19111-2430 |
Roh Yanagida | Thoracic Surgery | Temple Faculty Practice Plan Inc | 7500 Central Ave, Philadelphia, PA 19111-2430 |
Charles Bakhos | Thoracic Surgery | Temple Faculty Practice Plan Inc | 7500 Central Ave, Philadelphia, PA 19111-2430 |
Christopher Loftus | Neurosurgery | Temple Faculty Practice Plan Inc | 7500 Central Ave, Philadelphia, PA 19111-2430 |
Doreen Rustam | Nurse Practitioner | Temple Faculty Practice Plan Inc | 7500 Central Ave, Philadelphia, PA 19111-2430 |
Kenji Minakata | Thoracic Surgery | Temple Faculty Practice Plan Inc | 7500 Central Ave, Philadelphia, PA 19111-2430 |
Michael S Fakhraee | Plastic and Reconstructive Surgery | 7500 Central Ave, Suite 101, Philadelphia, PA 19111-2431 | |
Stacey Herbert Brann | Thoracic Surgery | Temple Faculty Practice Plan Inc | 7500 Central Ave, Philadelphia, PA 19111-2430 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Linda A Petti | Psychologist, Clinical | 535 Penny Ln, Philadelphia, PA 19111-1201 | |
Brenda A Buzydlowski | Hospice/palliative Care | Hr Physician Services | 8580 Verree Rd, Philadelphia, PA 19111-1370 |
Arelyne B Pacho | Physical Medicine and Rehabilitation | 8015 Lawndale Ave, Philadelphia, PA 19111-1507 | |
Donna R Farrell | Family Practice | Montgomery County Medical Associates, Ltd. | 8014 Burholme Ave, Philadelphia, PA 19111-1801 |
Catherine E Canty | Chiropractic | 8012 Pine Rd, Fl 1, Philadelphia, PA 19111-1809 | |
Uriel Schechter | Optometry | 7834 Oxford Ave, Philadelphia, PA 19111-2219 | |
Stacy W Lexow | Obstetrics/gynecology | Abington Memorial Hospital | 7996 Oxford Ave, Philadelphia, PA 19111-2241 |
Mary T Greybush | Obstetrics/gynecology | Abington Memorial Hospital | 7996 Oxford Ave, Philadelphia, PA 19111-2241 |
Phyllis M Briggs | Nurse Practitioner | Abington Memorial Hospital | 7996 Oxford Ave, Philadelphia, PA 19111-2241 |
Gengo Sunagawa | Thoracic Surgery | Temple Faculty Practice Plan Inc | 7500 Central Ave, Philadelphia, PA 19111-2430 |
Find all physicians in zip 19111 |
City | PHILADELPHIA |
Zip Code | 19111 |
Specialty | INTERNAL MEDICINE |
City + Specialty | PHILADELPHIA + INTERNAL MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.